Scanlan, Grover

Scanlan, Grover is an sole proprietor health care provider with primary practice located at 3801 N 88Th St , Milwaukee WI 53222-2706. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Scanlan, Grover can be contacted via phone (414) 793-2796.

Contact Information

Primary practice address
3801 N 88Th St Milwaukee WI 53222-2706
Fax: (262) 965-4107
Website:

Health care specialties

Profile Details

NPI number 1548838121
LBN Legal business name Scanlan, Grover
Credentials MSW, CAPSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548838121 NPPES
Wisconsin MEDICAID 100060402

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